Individual provider Active NPI

Denisse Michelle Maldonado, PA

  • Surgical Physician Assistant
  • New York, NY
National Provider Identifier
1437864659
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
506 Lenox Ave
New York, NY 10037-1802
Phone
(212) 939-1000
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary
Medical Physician Assistant 363AM0700X

Addresses

Primary practice location

506 Lenox Ave
New York, NY 10037-1802

Mailing address

4515 48TH St Apt 5E
Woodside, NY 11377-5310
Phone (917) 444-6824

Other practice location 1

200 W 57th St Ste 307
New York, NY 10019-3211
Phone (917) 410-6905

Other practice location 2

7001 Metropolitan Ave
Middle Village, NY 11379-2191
Phone (917) 410-6905

Other practice location 3

2818 Astoria Blvd
Astoria, NY 11102-4751
Phone (917) 410-6905

Other practice location 4

535 Clinton Ave
Brooklyn, NY 11238-6589
Phone (917) 410-6905 ext. 1028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230606000586 NY Practitioner - Physician Assistant 3870950991 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Walk in Womens Gynecology PLLC Past Accepting new patients
Walk in GYN Care, PC PastSince Jul 1, 2020 Accepting new patients

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: dmaldonado1445713@nychhc.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1437864659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 48TH ST APT 5E",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775310",
            "telephone_number": "917-444-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100371802",
            "telephone_number": "212-939-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W 57th St Ste 307",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100193211",
            "country_code": "US",
            "telephone_number": "917-410-6905",
            "fax_number": "646-878-6095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7001 Metropolitan Ave",
            "address_purpose": "LOCATION",
            "city": "Middle Village",
            "state": "NY",
            "postal_code": "113792191",
            "country_code": "US",
            "telephone_number": "917-410-6905",
            "fax_number": "646-878-6095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2818 Astoria Blvd",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111024751",
            "country_code": "US",
            "telephone_number": "917-410-6905",
            "fax_number": "646-878-6095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 Clinton Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112386589",
            "country_code": "US",
            "telephone_number": "917-410-6905 x1028",
            "fax_number": "646-878-6095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "DENISSE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.